1441 Vince Tr
INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL
BUILDING PERMITS
PROPERTYLEGAL: YoT I SIoCKa I<eNNer~G~ o.~4.)r4
PROPERTYADDRESS: I'y1 Un1Ce -h,~ I
INSPECTOR: /,.PrnAJ Ll)e,IGLNe4
WSPECTION DATE: - 0
d o ¢
z Z SITE GRADING
All slopes 3:1 or flatter? •
?a ? Slopes steeper than 3:1 require retaining wali. Are retaining walls present?
6 Does grading conform to As-Built Grading Plan 1 foot approximately)?
0 Does perimeter grading tie in well with adjacent properties/undisturbed land?
im Is there proper grading and/or drainage around Lookout or Egress Windows?
EROSION CONTROL
Is Silt Fence (or approved equal) installed and in good working order?
Is Sod/Fiber Blanket installed behind curb?
Is the Rock Construction Entrance/Driveway installed and in good working order (proper
type/size of aggregate, clean-not covered with soil, etc.)?
16 Is temporary vegetative cover wl mulch present?
pd Is permanent vegetative cover w/ or w/o mulch present?
(circle one)
CITY EASEMENTS AND UTILITIES
Are all easements clear-no part of any building/decklporch/retaining wall/etc.
encroaching in easement?
pIF ? Are catch basins present within the property or in the street in front of the properry, if so
are they clean, do they have the proper erosion control in and/or around them?
?m ? Does the property have an Emergency Over Flow (EOF)? This can be found on the
Certificate of Survey. If so, is it present and has it been graded properly?
MISCELLANEOUS ITEMS
Is there tracking present on Public Right-of-Way/Street from construction site?
Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line)
Is the site clean, no trash and/or construction debris lying around?
Was the proper type of building constructed according to the approved grading plans?
(LO, WO, FB, R, etc.)
. eMS-RESIDENTIAL BUILDING PERMIT APPLICATION p 9O 5~
+1) y, City Of Eagan /Y\ 70• SO
3830 Pilot Knob Road, Eagan MN 55122 ,55, (p3
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemodebReoair Reauirements Otfice UsaAnlti
?3 regislered sile surveys showing sq. R. of lot, sq. fl, of house; and all roafed areas 2 copies of plan CeR a( Survey:Recd ?Y ^:N
(20%mazimumlotcoveregeallowed) isetofEnergyCelculationsforheatedadditans TreePresPlanRecd ZY^N;
V2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey kr adtlitians 8 decks Tree PresRequired l±rY'. _ N
? 7 sel of Energy Calalations Addglon - indicate ilonsRe sepUc system O"ite Septlc System _ Y_ N
y 3 copies oF Tree Preservation Plan If lot platted afler 711193 i-s1, qa s,~ '
vRim Joist Defaa Oplions seledion sheet (huild'mgs wilh 3 arless uniLS)
74 6q L
Date 7/27 / 06 Construction Cost
Site Address 1 441 V i nra mra; 1 UniUSte #
-'.o-f i . 13 1vcK~21 )t~"alier1Gk
Description of Work New Construct i on
Multi-Family Bldg _ Y_X N Fireplace(s) _ 0 X 1 _ 2
~
PropertyOwner Thorson Homes, rnc. Telephone#,(.y.y}) 6--Tm-4y4
(~l2 $lp-
,
Cootractor Th s n m
~
Address ~i City Fagan
State Zip 55123 Telephone #
12 SIG. 3tQ7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
~ Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Venlilation Category 1 Worksheel ! • New Energy Code Worksheet (+lsubmissiontype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? X Y_ N If so, 25% plan review
fee applies.
Licensed Plumber Thompson Plumbinq Telephone 954 933-771 7
Mechanical Contractor Kleve, inc. Telephone 954 942-4211
Sewer/Water Contractor Allied Excavatinq Telephone 95? 894-8340
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
En a... L
Applicant s Printed Name Applicant s Signature
OFFICE USE ONLY
Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
1)(L 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement •Demolition (Entire Bldg) • Gfve PCA handout to applicant
r
Valuation v0 Occupancy MCES System
Census Code Zoning City Water
SAC Units 191 Stories Booster Pump
# of Units ~ Sq. Ft. PRV
# of Bldgs ~ Length Fire Sprinklered
Type of Const vWidth /
REQUIRED INSPECTIONS
1C Footings(new bldg) ~ PinaUC.O.
_ Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
Framing Siding Stucco Stone 4 Brick
Fireplace~ R.I. 4Air Test * Final W indows
~ Insulation -X Retaining Wall
Approved By: Building Inspector
Base Fee ~i
Surcharge
Plan Review
MC/ES SAC ~~-~i1.1 l 2 ~ Q X`~ L~ - ,I~~ I04/,
T
City SAC ^
Utility Connection Charge d ~ g ~ x
S&W Permit & Surcharge
Treatment Plant
License Searoh
Copies
Other
Total /SC
7~ g/
Z
r . } LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ho~ I~Io~~ bmY1k'( i C.I(, &I
DATE OF SURVEY: 1 I~II~b
LATEST REVISION:
m
rn
c
m t
V
v
O `z ¢ DOCUMENTSTANDARDS
? • Registered Land Surveyor signature and company
~g' ? ? • Building Permit Applicant
? ? • Legal description . ,H ? ? • Address
'g' ? ? . North arrow and scale
'0' • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
,B 0? • Directional drainage arrows with slope/gradient %
. Proposed/existing sewer and water services 8 invert elevation
~ ? ? • Street name
)2f 0? • Driveway (grade & width - in RIW and back of curb, 22' max.)
'2 ? ? • Lot Square Footage
? ? • Lot Coverage
ELEVATI ONS
Existinq
~ D ? • Property comers
,;z . Top of curb at the driveway and property line extensions
?2f ? • Elevations of any existing adjacent homes
'a' • Adequate footing depth of structures due to adjacent utility trenches
? ~.J ? • Watenvays (pond, stream, etc.)
Proposed
/P1 ? ? • Garage floor
'Pk' ? ? • Basement floor
fY ? ? • Lowest exposed etevation (walkouUwindow)
? ? . Property corners
~PJ • Front and rear of home at the foundation
PONDING AREA (if aqqlicable)
? ~ ? • Easement line
? ~ ? • NWL
? ,g ? • HWL
? ,d ? • Pond # designation
? ? • Emergency Overflow Elevation
? ~ • PondNUetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
~ ? ? • Lot Iines/Bearings & dimensions
fd" • Right-of-way and street width (to back of curb)
? 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
? • Show all easements of record and any City utilities within those easements
. Setbacks of proposed structure and si rd etback of adjacent existing structures
~ ? ? • Retaining wall requirements:
Reviewed By: Date ~~Z7
G:/FORMSlBuilding Permit Application Rev. 11-26-04
I
LOT AREA =16,200 SQ FT
JUL 2 7 RHOUSE AREA =1.226 SQ FT (includes cnntilever)
GARAGE AREA =799 SQ FT
P19NEERengineering STOOP AREA m71 SQ FT
Mendota HeightsOH'ia C~nRePidsOffia ORIVEWAY AREA =758 50 fT
2422En xDrive rnawart~mts ~.uNmeur+t~ns Lumsuxvetrats uNavcnrEnnciuMcrs 20185thAvenueN.W. BUII.DING COVERAGE =12.57
Mendota eightt, MN 55I20 Coon Rapids, bIId 55433 . . IMpERVI0U5 COVERAGE =17.6R
(651) 681 1914 Fax:681 9485 Mendota Heights Off'ice (763)7831880 Fu:7831883
401I11b 1 L 7'JQ 3:1 M mum Sla~ea
Certificate of Survey for: THORSON HOMES, INC. °rRo~~' W~~ BENCH MARK:
~ B8 R9Q If~ 7 TOP OF SP~KE3
~ • ELEV.=911.8
1441 VINCE 'fRfUL, EAGAN, MN (VACANT) (VACANT)
NOIE: PROPOSEO GRADES SHONN PER GRAWNG PLAN BY: GUST i INSTALL I i/ 5 O-
N07E BUILDING DIMENSIONS $HOWN ARE FOR HORIZONTAL AND VERTICAL LOCA710N e IMETE CA~~ yl~ O R-~- ~
OF 57RUC7URE5 ONLY. SEE AftCH17EC'NRAL PlANS FOR BUItDING AND 1 S89~56'2U~ , . ' .:18Q~.9
0 ~i ~
couNOanowon+Er+sioNS. IdE DRAINAGE ANO PIAT U1ILITY 971 _9 , ~ j
Ep E Z
N07E: NO SPEtlFlC ShcS INbE511GA710N HAS BEEN CONPLEIED ON TH6 LOT BY iHE ~ `s e 38.~ sn.a W 30.00 ~2. 0--
SIMVEYOR. THE 911TA&UiY OF SOILS TO SUPPORT 7HE SPEqFIC HOUSE f(~ i 812.6 ~B
PROPOSED IS NOS iHE RESPIXJStBR1TY OF lHE SURVEVOR. L r ` _ r q1~1 O 2.6 ^ I
NOTE: 7Hi5 CERnFlCATE OOES NOT PURPORT TO SHOW EASEMENTS OTXER TH 9/2.8 p~ q 9126 I j
7HOSE SiOM! ON iHE RECOft0E0 PLAT. O 51 \ i o 30.33 N` ; 1 D ~ I
NOTE: CONTRACTOR AIUST VERtFY ORIVEWAY DESIGN. ~ O ~ i°o/,° 2.50^ otl i-
O N . n
NOiE: gEARINGS SHOWN ARE BASEU ON AN ASSLIMED DAN/A ~ ~ ~ I 913.6 OW O ~
a O /O j/pp p rt~ J
~ 6m~ ~ 2.00 a'= 5.5~ ' G~ Q I
LOWEST FLOOR EIEVATION: ~ p/13 N1 ~ 975.8 I f ~ I
30.0 W F-
TOP OF BLOCK ELEVAl70N: ~U:' - N ~ 2• 33.00 ~ eca F~
GARAGE SLAB ELEVATION: ~ 918.0 ~2.0p'4? ~s l ~ W I
- 111.7
en.~ a si . I
TOB 0 LOOKOl1T ELEVATION: N p
G1A'•~ \ ' a ~/o Z
N O 919z ~a' >
X 000.00 DENOTES E73571NG EtEVAT10N ~ Q i o y . F 9~y+~ ^D Z6 33/ I 9 I
( 000.00 ) DENOTES PROPOSED ELEVA710N ~~yp O - 97 Z
I
DEN07E5 ORAINACE AND UTIU7Y EASEWE!}T at ~ t. 91&6
-T- DQlO1E5 ORAWAGE FLOW WRECTION BENCH ~dAF~: S ;q azos a~:~~l 10 1
~ oENoiES sPiKE TOP NP NODRANT L2 B2 L - - - - - - - - - - - - - - - - is?-'~ -j f I
e.9 iO gt
$ DEN07E5 OFFSET XUB ELEV.=904.90
922.1 38.33 aza.30. 04:v y.
WE HEREBY CERTfFY TO THORSON HOMES, INC. THAT THIS IS A 7RUE AND CORREC R NTATION OF A E RL°3Og0M
SIJRVEY OF THE BOUNDARIES OF: SS94'rJ6'20»E th 180.00 1%xNy Qn g0g
~
LOT 1, BLOCK 2, KENNERlCK SECONQ ADDI110N HousE r,PE=13C L.O. eENCH MARK.
DAKOTA COUNTY, MINNESOTA SANfTARY SEWER INVERT ELEV.=904 TOP OF SPIKE
(PER PLAN PROVIDED BY CITY OF EAGAN) ELEV.=920.42
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCftOACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY A1E OR LOWEST EXPOSED ELEV.=
UNDER MY DIRECT SUPERVISION THIS 99TH DAY OF JULY, 2006. °N ' SI NED: PIONEER E NE NG, P.A.
SCALE : 1 INCH = 30 FEET BY: F--
~ 3499 103235070 MTWx2 Dan R. Westergren License No. 19 0
. '
MNcheck COMPLIANCE REPORT
Minnesota Energy Code Permit #
MNCheck SoRware Version 3.0
COUNTY: Dakota
STATE: Minnesota Checke@ by/Date
ZONE: 2
CONS7RUCTION TYPE: Single Family
DATE: 7-14-2005
COMPLIANCE: PASSES
Required UA = 427
Your Mome = 300
29.7% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILiNGS 1543 44.0 0.0 42
WALLS: Wood Frame, ifi" O.C. 2295 19.0 2.0 129
BSMT: Conc. 8.5' ht/8.5' bg/8.5' insu! 119 11.0 0.0 7
GLAZING; Wiridows or Doors, Above Grade 362 0.2$0 101
p00RS 42 0.500 21
HVAC EQUIPMENT: Furnace, 93.0 AFUE
HVAC EQUIPMENT: Air Conditloner, 13.0 SEER
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building
plans, specifications, and other cakulattons submitted with the permit application. The proposed butld(ng
has 6een designed to meet the irernents of the Minnesota Energy Code.
Builder/Designer ~~-----1~A~ Date 27'
~
~
~
_
City Inspection Dept. Copy
A-1
, City Forester Copy
ApplicantJBuilder Capy
(BUILDER, PLEASE READ ATTACHMENTS)
Development ~ a h n~ r t G
Lot Number Block Number 7-
Address 1,A.q U l K~ 12c I
, Builder ) {A.(NSw•. FTlJY1`e S
Phone Number: I z '~Z
Contact: k'(1a.w -rkCWbu,__
Tree Protection Reauirements:
YC Tree Protection Fencing Installed On Site
- Oak Tree Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning Required
Retaining Wall Ta Be Installed
Other:
Replacement Trees:
Nat Required
As Follows:
!N FORESTRY DIVISION
Attachments: REVI
~ Yes
No YK4
~kTE
Additional Notes:
H9ghove~006fleVreepres\Tree Preserva6on Plan Summary-2006
~ .
MENDOTA HEIGHTS
CORFORATE
~ 2922 EnHryrid diYe
j ; Mmdela Hc6htr, MN 5512(1
PIbI `V y.LJLi\V/(•YZnl~l~ll.If~OiF{CE
O Ph~ (657)681-1914
. . (u (651)661-9488
Qtlil ENGINEERS LAND PIANNERS LAND SURVEYORS LANQSCAPE AHCHITECTS [ COON iAPIDS DFFICE
f zm asuaK~N.w.
. . ~h CoenRapdsAQJ 55433
Jfiily25,2006 asn ~
_ -r
_ Y ~ 4~ w tX fi.
Mr. Gregg Hove
Supervisor of Forestry
City of Eagan
3501 Coachman Point zA
Eagan, Mnsnesota 55122
RE: Tree Certification '
Lot 1, Block 2, Kennerick Second Addition
Eagan, MAI (17akota County)
For: Thorson Homes Inc
Dear Sir:
This ietter is to verify that Thorson Homes Inc. has abided by the Ciry of Eagan's Tree
Preservation Ordinance on Lot 1, Block 2, Kennerick Second Addition.
Auring a site visit on July 25, 2006, all signi5cant trees designated to be saved were observed on
the lot and are in good heaIth. No tree preservation plan was avsilable for tliis development No
tree mitigation will be required on this lot due to the bnildar saving 100% of tbe significant trees
on-site_
The hoase has been sfaked. Tree protection fencing should be ptaced outside of the dtipline of
all trees to be saved. Future grading and construction should not have a negative effect on these
trees.
If you have aay questions, please call me at.(651) 681-1914.
Sincersly,
P~ENGINEERING P.A.
K J
en
Urban Forester
MN-4033A
cc: Brian Thorson, T'horson Homes, Inc.
~
, Makiata Hdgtb ORIM PISNEERenoneeHng CDo,,RIPM Offke TREE
2477ERUprlsaMVe aweuWmu uNOwNxas vxowroc~Las VnoSCloeNqsfmc 701B5tlfAVaiuBN.W. ~
MMdMS NdpAb, MN 55170 Cmn 118Pb9. MN 5133
(r,51)6811914 rsx:sec scee Mendota Heights Office fM3) 7IG Leeo F":783 Jee3 : irf'"
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TREE CERTIFICATION
G 19 ~A91 90WPIWR StlIE
BOKEUXER
! lP BCl6~61 M01~9dCWGWt SM2
Certificate For THORSON HOMES, INC '
[ 1PirR ~F8!/.4N SIBNR1h1N1 LNE
~ LOT 1, BLOCK 2, KENNERICK SECOND ADDIiION H',P °ELDER xa~ ua w~~e
k,~m G .R~F~
, ~
1 H ~ - encnn, MINN~1'A (DAKOTA WINrY) TREE PROTECii0P1 FENCE 3 2 awa u~
: ~cicv-.ni.x
tv~cu~» (~ACAKO
SIGNIFICANT TREES ;,I~AHII ve ~T ~o^E im.ao 1
. WY ~r IIA! 3flYl , bM](ydp 2 IQ
70TAi NIA+IBER OF SIGNIRfANT TAEFS 9
MULiIPLY BY 20A%= 1.8 ALLlW/ABtE TREE RFMDVAL WP770UT MIIIGA7ION $ bl 6 ~ I I
wLrro TREE uta(r+o ~
~Z ~I
~ - ~ ~ - ~ ~
SIGINIFICANT TREE SUMMARY ~ ~C p---E
5 I
~ z
H~
TREESSAVED: 9(100.046) ~°-u I
n
7REE5 REMOVED: 0(0.0%) eo+a uuat: u w va!
'I9TAL TREES: 9 (100.0%) e~v ea.o"~RO µT Lx ex Ly - - - - - - - - - - 25
KO TREE anIGA,ION AEWWM 'a. ~ ~M I
amrsarnFlGror7REES nnemalM INrHemFtmras ses^sb'm"E ~ lea.ao .
xaUSE rnc-Ix G0.
eENCH sexcn - u:
'~~°~t•r pnquae, ~u.w.) ~rinm..w rnovmFnwwer+Tan aFV.a.eauaup \ ma s saKc
wrasr awosm ¢cv. nav..am.u
.7
ewnaw cwmnce -ises
i hmeM ~N tliM Nm d~ vms crororea M me « uMV Am' rtrra ~ur u~v. as m vr
sWwvlbla0 antl thet l am en lkt*n farW W antl a Certlrtea NEw44 4446MOUC COYEuOe -n.ex
SIGNEDI 140kM '
DATE: 7DAiE:
iCen W nPo MN4033-A1 I SIGNATUREOFOWNER
10.3081.013 PPGEaNEOFIWo
.
PI$NEERene~
~ ~ ~
zv~~o~e aw.ac~a wmnx~ wo~ wo~ce~m~s ~~ss ~eeo~a.w
Madda Hephk, HN IDsm
{Fn~ esi in+ F~~az v+ea Mendota Heights Office tM» r= M
TREE PRESERVATION DETAILS
TREE PROTECTION FENCE PROTECTED ROOT ZONE
sHOw FEWM
~ so~ l°nlPln¢
~ a
~m ,ra PROTECfID R0UT 20NE
umusn-uroor~va
oFmwcnro1em
7FE MEA OF ROVfS E'QW-101'-iS PoR EV9C( i• IN 1NBX WNff7Bt(UBH)
TREE PROTECTiON ZONE
MauMRl~oooww~4MMra~slmu~ cawa~n~imrenm~om+owmsircm:erm
y~ry/,~ppS~s61B16 VNm~~M1C>S WR'A
MOW(1d~4MXIXTQIDWOE Vllb~'~NOMOIM.61
M919IYIDONOPIIEQMA4t~fM~1M MFW~eP61aM11NTliV r0lMSii~n'nC.IIkT~
ml! 111[! W IC1dfY W1Y NNOSMO~MM V VII
xsruamemar1e~awaaa~•Wasvsnl.nusana~ ani~onm~unvmwmrs~meumiag
rwnaare~eeawan~euwww€'+~+w~eo~unue+nxuoasinw v~reemn•vmmemxnswsa.~
. ~WI~~xOl10.10RIYS~IOFiY/ap WKBIIEH9
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IbMll~w[TIC(!M\9
TREE PRESERVATION NOTES
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fplfLT//If Ol IIIFN ~N6YI111~11PIL WA~U!{ ~f!ffiP0111P
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lU NI~TEIE 1N.flOllf MO I~Y~lt Q 4YIS 01`l~' ~NllWiS
AR»~M?11B(4RH&
IL.6N41YICIWN~. Y@WEIR/RClIO51WZ/AFA9
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ru~arw~wnrornu~n,~marmnumw.rv .
FWOI~UY6KMtlILL60COAAtW16UC WOYIOOM~61Y6i
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GAG@1WOCFTWO
Siteaddress: ~qLtl VlA 4 T", I Lot~ Blockt- Subd. Z?
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
~ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MOOEL BTU'S VENTIN6TYPE
Water Heater k ~ p
Fumace x 41w Ci U O o
Dryer oi.-.r
VENTED
EXHAUST SYSTEM LOCA710N TYPE MODEL CFM's YEs No
Kitchen kitchen Ml c,4,,," ~Q„µ ^ AjA„ vt2e6 4AS ZQO
Bathroom 1 M1„Ak_ U--~ ll q I10 ,t
i~Ar. Bathroom2 A-A. - llu .
Bathroom 3 l~ ~ fu
Bathroom 4
Ofher
VENTING
FIREPLACE S LOCATION GAS W00D MANUFACTURER MODEL BTU'S DIRECT ATMOS
MAKE-UP AIR MODEL TYPE CFM's
-7°~ c~,.4 ~r NM
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and CiTy of Eagan
requirements.
& l - h•oZ
Sgp~Wre Date
/Gwtn ~
CompanyName
` This foRn is the responsibility of the General Contractor.
NOUSE FIEATING TEST RECORP
ADORESS /'c3a lf
OCCVPANI APi._FLOOR CI?Y SUBURO
HFAT LOSS DATE HT.C. IHfT. OMNER
sao nr
E INStALLEO mY
i.~tii~ai w~k e~ Li~• 8y
TYPE OF HEAT G• GA _ FA Hw__ STEAM __SPACE H?R. __UNI7 MTA. __OTHER .
CAS DESICH MAXE OR 9URNFN CONVERSION
uAKE
we.i ~Y -irt~°~' n X'~A ?ba~
s..~e~ o a ~~fLfi~ M... an, R.tiM
INVUT MAKE OR FURNACE
Me/eI
1~j!WE1H-r CONTROLS n n y
THERMOSTAT ~4(11ea/ PIW Venl SIae -3 v .
Vslr~ _ rnb ..iw1 f
LITir KIHb OF LINER , SIZE NONE
roh He~f ~ RNuieror
UTi, O
fan AMing Ch
Iren~r leesllen n0id0 Oufdd~
P;lel i~p~ i Qt~nn~y CeneIwNlon ~ V~..
Pllaf Ms4.
Pilsr IAed0l
Pllei Tlrniny 3neb Bem~ WINn~
0.ele 7~~1 ts~
L.W. Cue Oft ~ Os~e pr~~~w• ~r L~~h11n* In~l.
Pnolur• / Poreo nl CO~ DsN T*Hed
in0ut CFH y Po.eom O~ ~ G.r.ny T•.nng r >
Sbek 1o.np. Pwcan1 CO ~ Newrs, d TseIsr
~ MAY 3 0 20D7
Jun 04 OS 11:44a Douglas Weslon 952-985-4240 p.1
~ ForOtliceUSe I
11y3oLl~~ I
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3830 PilOt Krlob Rosd i Permit Fee: ."~O ' I
Eagan MN 55722
iDai
Phone: 651 675-5675 I ~
Fax: (651) 675-5694 st ~
2008 RESIDENTIAL PLUMBING PERMIT APPLI TION
13ate: Slte Atltlress: 1Lkq1 Vt hc i r.... l By
TenaM: ci\r~s i- SuiteO:
RESIDENT I OWNER NameC.~~~--s ~ r1'\ kck4 ~'Nt"e-SSkir Phone:Co61 L5a7
.
Address ( City) Zip:
y 4
COhPTRACTOR niame"L)k
Address:
cicy: A kQPl.e- srateYn^ ziP5!2~
Phone:ZlL--1S~'Sis'~tZ Contact Person: IQ tte-tn]"~solk
TYPE OF WOAK _)97., New _ Replacement _ Repair _ Rebuild _ Madify Space _ Work in R.O.W. Descri tion cf work:
PEpMIT TYPE AESlDEN11A1
Water Heater _ Water SoNener
Lawn Irriga[iort Add Plumbirg Fix[ures
RP21X PV6) (_Main_LOwerLevel)
Septic System _ Water Tumaround
New
`A4arWonment
RESfDENT(AL FEES:
$50.50 Mlnimum Water Heafer, Water Softener, orWater Heater n~d Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (incWdes 5.50 State Surcharge)
$50.50 Add Plumhing Fixtures, Septic Sys[em Abandonment, Water Turnaround' (includes $.5D State Surcharge)
'Water Tumaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (indudes Counry fee and $.50 State Surcharge)
$0.50 Fire Repair (replace burned out apppances, duclvrork, etc.) (indudes $.50 Sqbe Suroharge)
TOTAL FEES $3!~!' S a
I here0y ackrrowledge Ihat ths informatlon is canplete arM accurete; that Me vrork wfll be in coMnrmance with the atlinentw arM codey of the Ciry of
Eagen: that I underslaM this is rtot a permil, bu1 only an applica5on for a permlt, ane work is rmt co start wilhout a permit; Ihal ihe work will be in
axordanca with die appmred ptan in fhe case d work which requires a raview and approval of plans.
TE.{ \
ApplicanCS Printed Name ApplicenYs Siqnature
FOH OFFfCE USE Reviewed By: Date:
Required Inspections: _Under Ground _ROUgh•In _Air Test _Gas Test ,Finaf
Address: 1441 Vince Trail Zip: 55122 Permit: 74691
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAI. INSPECTION ON : f I7 / 0 Yes No Comments
Final grade - 6" from siding
Permanent steps - gazage
Permanent ste s- main eritry
Permanent driveway
Permanent as
Retaining Wall or 3:1 Mas Slo e )0
Sod/Seeded lawn ~c sn,p ~
TraiUcurb damage f~'? e, C a v E 1ZeD '
Porch
Lower level finish
Deck
Fireplace F)-o 2-
. Verify with your builder.that roof test caps from the plumbing system have been removed.
• Tum off water supply to the outside lawn fauceu before freeze potenrial exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
arigation system_
~ BU[L?INGINSPECTOft:
C/~ P~`5 7~' pVr~cs 7fL"O~Z°f ~1 b' I
C
Pivik-
te""" Use BLUE or BLACK Ink
41111111° 0.P
""City
For Office Use '7 i
`�� ::::
� �� RECEIVED 577, 7Co
3830 Pilot Knob Road , jJ�c1 /JJ
Eagan MN 55122 APR X017 Date Received: `7 ( /
Phone:(651)675-5675 Staff:
Fax:(651)675-5694
r9
2017 RESIDENTIAL BUILDING PERMIT APPLICATION I)"\ ;�\n
Date: £ I I-2-.O 11 Site Address: 11-t Li I `V M cam... I fss r k Unit#:
kA 1 VI
Name: Cv‘Pt ket,Q r Phone: COSI_9_
RettileM!
�� a Address/City/Zip: I Li Lii I VA"c^-11— I l a c ..
r Applicant is: Owner x Contractor
16—:'I- \
Description of work: I��n 1
I or wont
Construction Cost: I't-( it-Ut) Multi-Family Building:(Yes /No 6 )
' Company: 1 1ntYY3C*A. t"-ICAAA -6 le1C,. Contact: N iG hog 401-7,(01-4' 14 Ia
Contractor , Address: (ILI to&a Wa.c .In30Oc City: 1p. °v
State: ;MO Zip: fSCI c.7 Phone: (931-9S1- in
mail: l c.k. `I'Ino4-- LJtn. vv,a►1s CC.1,w
License#: 1511 Lead Certificate#:
If the project is exempt from lead certification,please explain why:
13w t n i S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
: the*inosaton andmppo� F,yfR ,# y t it ns rd ob p ��i n. Por
� '
r -p lc you � s � aso ns� o � iiii
+ }cl +*, rte . ,
CALL BEFORE YOU DIG. Call Gopher State One Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work"'II be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is.n t a permit,but only an application for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
-7'74sY"eta�G -:" ---0 Tl.�
x J rItIr ire. x N
tti
Applicant's Printed Name Applicant s Signa
Page 1 of 3
ft14iince rILIZZI
DO NOT WRITE BELOW THIS LINE
SUB TYPES
— Foundation T Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage — Porch(4-Season) _ Exterior Alteration(Multi)
— Multi _ Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
— 01 of,_,_Plex ?U Lower Level * Pool T Accessory Building
WORK TYPES
O New — Interior Improvement Siding ___ Demolish Building*
_ Addition — Move Building Reroof Demolish Interior
_
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window Water Damage
— Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation t O. Occupancy .T.R_c– I MCES System
Plan Review Code Edition Y11 vl Zi Sr SAC Units
(25% 100%\to) Zoning g'"1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction U b Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) Final/No C.O.Required
—
Foundation Foundation Before Backfill >' HVAC Gas Service Test Gas Line Air Test
—
Roof:_Ice&Water ___Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick EFIS
—
Insulation Windows
T Sheathing Retaining Wall:—FootingsBackfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
y Shower Pan Other:
Reviewed By: %DOI l,fit :1( L fr , Building Inspector
RESIDENTIAL FEES , 00 59 „ /P
Base Fee <
Surcharge iZ e Cr 200 dl'.- .) de, D 0
Plan Review
/7 I n lZ s , a .Cr
MCES SAC
City SAC 731.977/ /2°0 vk.,.._
Utility Connection Charge i3 e cI iz Co
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
May. 24. 2017 9:O0AM Silver Tree Plumbing & Heating No. 0559 P. 1/1 /
Use BLUE or BLACK Ink
1
For Office Use fii\
Permit#: /• * City of Eaali60-.0 ,Permit Fee: /
3830 Pilot Knob Road "
Eagan MN 55122 Date Received:
Phone; (651)675-5675 Staff:
Fax:(651)675-5694
' 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/24/2017 Site Address: 1441 Vince Trl
Tenant: Suite#:
1 's M ym y:
,,.%:N'ren!{!Cr�,trr�`)i:.t@t'IP N.B:rt.a`�:�•9:'
„..s,..4,.':i r<r %+4:a);•:R.•Jig, Name: Phone:
rr:'•
,y .t '•rill;iiW �:;,4;s tssa;ii�;, Address/City/Zip:
�>7++...£ra.iw'°9.5./.U�'�1., Ir1C.,+:�.r,,..ird..
•�ii,F:;'i,r�r't�'4,�,�;;::'V A�'t}a5i(f 1 is
'1!'''`" !>}•l'tt )YSi�� ri 4A:Yf�};;;. Silver Tree Plb & HtPM058743
'>;•.w'�E��';! •fi��^°°�;"' ���� Name• 9• 9' License#:
.t k .i f}, 4. j}�•1 r:=°t 3185 Terminal Dr#200
:,�. . � I;,yw�;,! i��l;.•,,3::, ��y. Eagan
i,, ,,w;; ,,,wt 'V`1.43,k��,;tij;: Address: "
<:,f.?i ae ' tit (
``}`'i " ' R lii4iii 1 ' MN 55121 ' 6513194200
^'x'r,'a!:i<• }�Ci'�";}•fiJ;•fY 3'li aif Ir$;i
/'i o.i:r0.;"' E" i;� Edi f„�d i':tits; State' ,Zip' Phone:
�'§ ru,n,•%`;,=!s:i'�liy: sJ�rliu.�i�. fit (
i•N•f°`f•' '� ' °•V;; ,iI$ Ryan ryanb a@silvertreepandh,corn
,,.a...'t.r "` ,i" `!( Contact: Email:
t'.Rci:SttN�i Jii+.�li:iStdr?•'• ;N iif,it�U
';r;9( •'.;s liOlr•y;Y..`�d{t ti+I
.G(Pd,'+'ti�l
t •s !:iiit
d'+r! `'', 01 k ' ki —New _Replacement Repair —Rebuild ✓ Modify Space _Work in R.O.W.
3„"'• f(. °:ht' ' Basement bathroom finish
qy,i.;14:4 �'itS+'`I 1'*`L"'ii�'`�'i�rt'' Description of work:
I3NfY.,�i:i;i1F+J�`,(Iti$t•�,..,t!ii'tts<�.raut) P
','•. ."' ''"b '?•,0t.i:"ln,`l,:',I( RESIDENTIAL
..,,,, ,ntia'.i:•ffgtj; �t,E`itlr..,.yy!
x. a`t Et f; 4!' '• Water Heater
(f4i�rA At•;e3dp4:4(•Vk•ii%J.•(tii(ts•r464:t
ii:'v•r!S{yve'lll"Olt,tfi3.;,teil'•9.'h'•I: ^ Water Softener
' ;:, '+';.'"tA,�a;,€r ut ;litie'r,k _Lawn Irrigation RPZ/_PV6)
: `•im.!;,rl rM '"t• a ,'/L;,;it —Add Plumbing Fixtures L Main 1_Lower Level)
r zi.1.;i,;,:. 'u..t". ili'ly� ; —Septic System
);:r,""•::•:ti.{1(•ii,i; its.. iii`'!•"IFr:,,P.$.
*'yat ,l'f:;;';io'r'•, `,��ilii 't.3 .;a; New Water Turnaround
i?i?(5, •••zy�ay.;=, ";{( •n:t.4 : :0 —Abandonment
RESIDENTIAL PEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(Includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment Water Turnaround*(Includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115,00 Septic System New(Includes County fee and State Surcharge)
' TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this Information is complete and accurate;that the work will be in conformance with the ordinances and cod . - City of
Eagan; that I understand this is not a permit, but only an application for a permit. and work is not to start without a •= It;that work will be in
accordance with the approved plan In the case of work which requires a review and approval of p: -
•
xRyan Baker ..- /
Applicant's Printed Name App ,- ' - Si, -_ re
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